Table 1 Randomized Control Trials for DBS in PD

From: Patient, target, device, and program selection for DBS in Parkinson’s disease: advancing toward precision care

Authors & Year

Location

Groups

n

Primary Outcome Blinded?

Primary Outcomes

Length

Results

Deuschl et al.7

Germany & Austria

active: STN DBS

control: best medical

156 total

78 active

78 control

No

PDQ-39 &

UPDRS-III scores

6 mos

DBS improved PDQ-39 by 25%, UPDRS-III scores by 40%

Weaver et al.8

VA trial

USA

active: STN or GPi DBS

control: best medical

255 total

121 active

134 control

Yes

good quality on time (hours/day)

6 mos

DBS improved good quality on time ( > 4.6 h/day), > 56% motor improvements

Follett et al.9

VA trial

USA

STN vs. GPi DBS

299 total

147 STN

152 GPi

Yes

UPDRS-III score

(on stimulation,

off medication)

2 yrs

STN DBS reduced medication doses but worsened depression and visuomotor processing speed

Williams et al. 10

PD SURG trial

UK

active: STN or GPi DBS

control: best medical

315 total

162 active

153 control

No

PDQ-39 scores

1 yr

PDQ-39 summary index (94% improved), mobility, ADL, & bodily discomfort scores.

Okun et al.11

St Jude trial

USA

active: STN

sham: STN

168 total

101 active

35 control

No

good quality on time (hours/day)

3 mos

4 h good quality on time, >40% UPDRS improvement

Odekerken et al.12

NSTAPS study

Netherlands

STN vs. GPi DBS

128 total

63 STN

65 GPi

Yes

weighted ALDS; composite cognitive, mood, behavioral score

1 yr

Primary outcomes regarding disability equivalent; Secondary UPDRS motor outcomes: STN better

Schuepbach et al.13

EARLYSTIM trial

Germany

& France

active: STN DBS

control: best medical

251 total

124 active

127 control

No

PDQ-39 scores

2 yrs

DBS improved PDQ-39 summary index, UPDRS parts II-IV, & good quality on time

Vitek et al.14

INTREPID trial

USA

active: therapeutic STN

control: subtherapeutic STN DBS

160 total

121 active

39 control

Yes

good quality on time (hours/day)

3 mos

UPDRS II scores (off meds), PDQ-39 summary index, & Schwab & England scores

  1. STN Subthalamic nucleus, DBS deep brain stimulation, PDQ Parkinson’s Disease Questionnaire, UPDRS Unified Parkinson’s Disease Rating Scale, GPi Globus Pallidus internus, ADL activities of Daily Living, ALDS Academic Medical Center (AMC) Linear Disability Score.